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Abnormal Psyc exam 2
mood disorders
94
Psychology
Undergraduate 2
10/14/2010

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Term
emotional symptoms of depression
Definition
dysphoria (sad/bad feeling) and anhedonia (lack of enjoyment in activities)
Term
motivational symptoms of depression
Definition
lack of it
Term
behavioral and physical symptoms of depression
Definition
change in appetite, sleep patterns, activity levels
Term
cognitive symptoms of depression
Definition
thoughts of worthlessness, hopelessness, guilt
Term
dysthymic disorder
Definition
less intense depression
Term
subtypes of depression
Definition
recurrent, with melancholic features, with catatonic features, with postpartum onset, with seasonal pattern, with pscyhotic features
Term
course of depression
Definition
early onset has worse prognosis; minimum episode is two weeks; half recover in 6 weeks, 90% in 1 year (this is without treatment); usually recurrent and has comorbidity with an anxiety disorder because symptoms overlap
Term
psychodynamic explanations for depression
Definition
results from unconscious grief due to real or imagined losses
Term
behavioral explanation for depression
Definition
diminished social rewards lead to reduced behavior
Term
cognitive explanation for depression
Definition
maladaptive attitudes and automatic thoughts, cognitive triad, errors in thinking
Term
cognitive triad
Definition
negative views of self, negative views of experience, negative views of future
Term
arbitrary inference
Definition
erroneous conclusions
Term
selective abstraction
Definition
recalling only negative details
Term
overgeneralization
Definition
based on single failure, a person believes they are a failure
Term
magnification and minimization
Definition
underestimating positive experiences and maximizing negative experiences
Term
personalization
Definition
blaming self
Term
dichotomous thinking
Definition
all things are either good or bad
Term
goal of cognitive therapy
Definition
help the patient identify maladaptive thinking and replace it with more adaptive thinking (challeninging maladaptive thoughts by testing against the evidence)
Term
sociocultural explanation for depression
Definition
emphasizes social context and although may not be caused by interperonal events, interpersonal component may exist seeing as though people who lack social support are more susceptible to depression and depressed people sometimes have social skills deficits.
Term
interpersonal therapy
Definition
addresses interpersonal issues by working through miscommunications/misunderstandings, disputes
Term
four problem areas addressed by interpersonal therapy
Definition
interpersonal loss, interperonal disputes, interpersonal deficits, and role transitions
Term
symptoms of mania in bipolar disorder
Definition
elevated mood, enhancement of senses, euphoria, irritability, inability to concentrate, increased self-esteem, high energy, no need for sleep,
Term
bipolar I disorder
Definition
full manic episodes alternate with major depressive episodes
Term
bipolar II disorder
Definition
hypomanic episodes alternate with major depressive episodes
Term
hypomanic episode
Definition
abnormally elevated mood state that is less severe than mania.
Term
rapid cycling
Definition
patient experiences four or more episodes in a one year period
Term
mixed states
Definition
person experiences episodes of both mania and depression both in one day at the same time
Term
predictors of outcome for bipolar disorder
Definition
compliance with medicine (good), presence of psychotic features (bad), schizoaffective diagnosis (bad), rapid cycling and mixed states (bad)
Term
biological explanations for bipolar disorder
Definition
neurotransmitter abnormalities and brain structure
Term
CDC definition of suicide
Definition
evidence that injury was self-inflicted and that the defendent intended to kill him/herself
Term
WHO definiton of suicide
Definition
suicidal act with fatal outcome
Term
suicidal act
Definition
self-injury with varying degrees of lethal intent
Term
death seeker
Definition
person clearly intends to end his life
Term
death initiator
Definition
person is simply hastening process of death
Term
death ignorer
Definition
person does not realize finality of death
Term
death darer
Definition
person is ambivalent about dying even at moment of attempt
Term
integration
Definition
social ties may prevent suicide if the society discourages it and supports alternatives. this also goes the other way though, social ties may encourage suicide if the society sees it as beneficial.
Term
diminished integration
Definition
egoistic suicide
Term
excessive integration
Definition
altruistic suicide
Term
diminished regulation
Definition
breakdown of social order; anomic suicide
Term
excessive regualtion
Definition
social structures are oppressive and unbearable; fatalistic suicide
Term
psychological cuases in suicide
Definition
psychopathology, errors in thinking, previous attempts
Term
life events and the occurence of suicide
Definition
research shows that there is an increased amount of life events in the lives of those who committed suicide. the way life events can lead to suicide is the way the person interprets these life events, since depressed minds are often very inflexible.
Term
phobia
Definition
a persistent, irrational fear about an object or situation, person is aware that fear is excessiveand unreasonable, person usually avoids the feared object
Term
family pedigree studies in unipolar depression
Definition
show higher rate of depression in close relatives of depressed people than in the population at large
Term
postpartum depression
Definition
clinical depression symptoms can last up to a year following the birth of a child; experienced by 10-30% of new mothers
Term
neurotransmitters and depression
Definition
a) altered levels of neuromodulator serotonin messes with levels of other neurotransmitters
b) neurotransmitters dopamine, serotonin, norepinephrine, and acetylcholine are all involved
c) abnormalities in endocrine system may result in over/under-secretion of hormones that could cause depression
Term
object relations theory
Definition
people whose parents pushed them toward excessive dependence or excessive self-reliance are more likely to become depressed when faced with the loss of a relationship
Term
anaclitic depression
Definition
infants and children who are separated from their mothers experience this
Term
affectionless control style
Definition
parenting style that correlates with depression in their children that is definedasa mixture of low care and high protection
Term
Lewinsohn's behavioral explanation of depression
Definition
some people engage in fewer positive behaviors when the rewards for their positive behaviors start to diminish, and that this isthe basis for the development of a depressed style of functioning
Term
maladaptive attitudes
Definition
cognitive vulnerability to depression... example is "my general worth is tied directly to every task i comeplete" or "if i fail, otherw will be repelled by me"
Term
feedback system
Definition
maladaptive attitudes, cognitive triad, and errors in thinking all combine to cause symptoms of depression, which reinforce and confrim the cognitions that create them.
Term
internal vs. external attributions
Definition
is the cause of this event lovated within myself (internal) or elsewhere (external)?
Term
global vs. specific attributions
Definition
is the cuase of this event relevant to many situations(global) or just this one (specific)?
Term
stable vs. unstable attributions
Definition
is the cause of this event enduring (stable) or is it shor lived (unstable)
Term
cyclothymic disorder
Definition
alternating periods of hypomanic and mild depressive symptoms for a period of 2 years or more
Term
brain structures linked to bipolar disorder
Definition
basal ganglia, cerebellum, amygdala, prefrontal cortex, dorsal raphe nucleus, striatum
Term
psychodynamic therapy
Definition
seek to help clients bring underlying issues to consciousness and work them through. they encourage client to associate freely, suggest interpretations of clients associations/dreams/displays of resistance and transference, and help the person review past events and feelings.
Term
behavioral therapy
Definition
therapists reintroduce clients to pleasurable events and activities, appropriately reinforce their depressive and nondepressive behaviors, and help them improve their social skills
Term
cognitive therapy
Definition
leading treatment for unipolar depression, designed to help clients recognize and change negative cognitive processes and improve their mood.
1)increasing activities and elevating mood
2) challaneging automatic thoughts
3) identifying negative thinking and biases
4) changing primary attitudes
Term
behavioral marital therapy
Definition
help spouses change harmful marital behavior by teaching them specific communication and problem-solving skills
Term
MAO inhibitors
Definition
slow the body's production of monoamine oxidase. MAO break down norepinephrine, so stopping this from happening would cause less depletion of norepinephrine, leading to less depressive symptoms.
Term
tricylics
Definition
block reuptake process that may be too successful and reduce norepinephrine or serotonin levels
Term
selective serotonin reuptake inhibitors
Definition
increase serotonin activity specifically, without affecting norepinephrine or other NTs
Term
interpersonal loss and treatment
Definition
feelings of grief and sadness after the loss of a loved one --> explore relationship with lost person, help client express feelings toward lost person, encourage development of new relationships
Term
interpersonal role dispute and treatment
Definition
role disputes occur when two people have different expectations of their relationship and of the role each should play --> clients examine whatever role disputes they may be involved in and then develop ways of resolution
Term
interpersonal role transition and treatment
Definition
brought about by major life changes --> developing social supports and skills the new roles aquire
Term
interpersonal deficits and treatment
Definition
social deficits that prevent people from having intimate relationships --> helping individuals recognize deficits and teaching them social skills and assertiveness in order to improve social effectiveness.
Term
predictors of violence
Definition
past history of violence, substance abuse, medication noncompliance, paranoid symptoms or command hallucinations
Term
panic disorder
Definition
is recurrent, unexpected panic attacks; a month or more of one of the following at least one of the attacks: persistent concern about having additional attacks, worrying about the implications/consequences of the attack, and significant changes in behavior following the attack
Term
agoraphobia
Definition
fear of being out in public faces for fear of having another panic attack
Term
social phobia
Definition
fear of being shamed by one's performance in a social setting
Term
fear
Definition
the response to real, immediate danger that organizes itself in response to the danger and subsides when danger passes
Term
anxiety
Definition
out of proportion to threat, can make the situation worse (maladaptive), anxiety remains as anticipatory anxiety
Term
immediate stressors that might precipitat suicide
Definition
loss of a loved one, loss of job, stress from natural disaster
Term
long term stressors that might precipitate suicide
Definition
serious illness, occupational stress, abusive environment
Term
mood changes associated with suicide
Definition
increased sadness, frustration, anger, anxiety, tension, shame
Term
cognitive changes in suicidal people
Definition
hopelessness, dichotomous thinking
Term
egoistic suicide
Definition
society has little or no control on person's decision to commit suicide
Term
altruistic suicide
Definition
so well integrated into the social structure that the person sacrifices their life for the well-being of society
Term
anomic suicide
Definition
lack of social order/institutions gives no purpose or meaning to life, person thus feels unfullfilled.
Term
metacognitive theory
Definition
people suffering from GAD believe worrying is a useful way of appraising and coping with threats in life, so they look for and examine all possible signs of danger, leading them to worry incessantly; they also hold negative beliefs about worrying because society teaches them that worrying is bad, and the individuals come to believe that their repeated worrying is in fact harmful and uncontrobble
Term
metaworries
Definition
further worry about the fact that they worry about everything all the time
Term
avoidance theory
Definition
people with GAD have greater bodily arousal than other people and worrying actually serves to reduce this bodily arousal, because cognitive activity temporarily reduces emotional bodily arousal. in short, individuals with GAD may turn to worrying as a quick, thoguh ultimately maladaptive, way of coping with unpleasant states of emotional arousal
Term
rational-emotive therapy
Definition
identifying and changing irrational assumptions held by clients, suggesting more appropriate assumptions, and assigning homework that gives the individuals practice at challenging old assumptions and applying new ones.
Term
specific phobia
Definition
marked and persisten fear ofa specific object or situation
Term
phobia
Definition
severe, persistent fear of a particular object, situation, or activity
Term
panic-prone peeps
Definition
may be very sensitive to certain bodily sensations; when the unexpectedly experience such sensations, they misterpret them as signs of a medical catastrophe; they grow increasingly upset about losing control, fear the worst, lose all perspective, rapidely plunge into panic, all setting them up for future attacks
Term
biological challenege test
Definition
procedure used to produce panic in subjects or clients in the presence of a researcher or therapist.
Term
anxiety sensitivity
Definition
focusing on bodily sensations much of the time, unable to assess them logically and interpret them as potentially harmful
Term
cognitive therapy for panic disorder
Definition
1) educating clients about gernearl nature of panic attacks
2) teaching clients to apply more accurate interpretations during stressful situations
3) coping better with anziety
4) interoceptive exposure
Term
interoceptive exposure
Definition
biological challengeprocedures to induce panic sensationsso that clients can apply new skills under watchful supervision
Term
civil committment
Definition
a legal procedure whereby certain people can be forced to undergo mental health treatment
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